Inspection on 12/03/07 for Somerset Villa Care Home

This inspection was carried out on 12th March 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Somerset Villa Care Home 19 Austin Street Hunstanton Norfolk PE36 6AJ Lead Inspector Mrs Geraldine Allen Key Unannounced 12th March 2007 09:10 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Somerset Villa Care Home DS0000067349.V333187.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Somerset Villa Care Home DS0000067349.V333187.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Somerset Villa Care Home Address 19 Austin Street Hunstanton Norfolk PE36 6AJ Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01485 533081 denisepriaulx@hotmail.co.uk Reminiscence Care Homes Limited Mrs Wanda Adriana Cairns Care Home 16 Category(ies) of Dementia - over 65 years of age (16) registration, with number of places Somerset Villa Care Home DS0000067349.V333187.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 25th August 2005 Brief Description of the Service: Somerset Villa is a care home providing personal care and accommodation for 16 older people who have dementia. The home was acquired and has been owned by Reminiscence Care Homes Limited since 31st August 2006.. The home is located in the seaside town of Hunstanton, close to shops, pubs and other local amenities. The building is a converted house, providing domestic style accommodation over 2 floors. There are 4 shared occupancy bedrooms and 2 of the single bedrooms have en-suite facilities. All communal space is located on the ground floor. Somerset Villa Care Home DS0000067349.V333187.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place during the day of 12th March 2007. Before the day of inspection, the home provided a completed pre-inspection questionnaire that gave information about the day-to-day staffing and running of the home. The Commission sent out questionnaires and 5 were completed and returned by visitors to the home and 4 were completed and returned by residents. On the day of inspection, information was obtained from various sources including looking at records, speaking with the manager, Mrs Priaulx, talking with all staff on duty during the morning and some 4 visitors. Lunch was eaten with 3 residents in the dining room and many of the other residents were spoken to briefly. The activity within the home and the interaction between residents and staff were observed throughout the day. Finally, a tour of the building was undertaken with Mrs Priaulx. Because Mrs Priaulx was not able to remain at the home for the entire inspection, some clarification was sought via the telephone. There was evidence that Mrs Priaulx and the team have worked very hard to make improvements to the environment, staffing levels and staff competence and this is to be commended. Positive comments were received from residents, visitors and staff. There was much appreciation for the work done by all staff at the home and it was evident that residents enjoy a good quality of life. Mrs Priaulx is aware there is still much to do and work is well underway to ensure the home continues to improve. The management issues will be alleviated once a deputy manager is appointed so that some management tasks can be delegated. A total of 4 requirements and 8 good practice recommendations have been made. What the service does well: Sufficient staff hours are made available to ensure the needs of residents are well met. Staff felt they had time to talk with residents and the afternoons particularly allow time for 1:1 interaction. Somerset Villa Care Home DS0000067349.V333187.R01.S.doc Version 5.2 Page 6 Residents are protected from abuse by good recruitment procedures at the home. In addition, staff are currently attending abuse awareness training to highlight what constitutes abusive practice. Staff understood the health and social issues for each resident. Very good relationships between staff and residents were seen. Staff were seen treating residents with respect and ensuring their dignity was maintained by good practice. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Somerset Villa Care Home DS0000067349.V333187.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Somerset Villa Care Home DS0000067349.V333187.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3&6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. No resident is admitted to the home before a full assessment of needs has been completed to ensure the home can meet their needs. The home does not provide intermediate care. EVIDENCE: The plans of care for two residents were looked at in detail. One had a preadmission assessment in place, whilst the other did not. Both residents had been admitted to the home before Mrs Priaulx took over. Mrs Priaulx confirmed that no residents will be admitted to the home without a full assessment of needs to ensure the home can meet those needs. The home does not provide intermediate care. Somerset Villa Care Home DS0000067349.V333187.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The current plans of care need to be improved to give a more holistic view of the individual resident, their physical, social and emotional abilities and disabilities, and the events that are significant to them. Once in place, the plans need to be reviewed at least monthly, with the involvement of the resident and their representative where appropriate. All elements of the plan must be completed as necessary and kept up to date. Staff need to ensure that confidential information about residents is not compromised by the way it is recorded. The home makes timely referrals to healthcare professionals. The home operates a safe medication process. Residents are treated with respect and their privacy respected. EVIDENCE: Somerset Villa Care Home DS0000067349.V333187.R01.S.doc Version 5.2 Page 10 Two plans of care were looked at in detail. Mrs Priaulx said she was looking to develop the existing care plans and spoke about some of the systems she had looked at. The existing plans were looked at with this in mind. For the most part, good information about the resident and their needs was recorded. There were plans in place about health and personal care although the monthly reviews were due on 29/02/07 but these had not been completed. Other records had not been completed as intended. Only 1 plan of care seen had a completed evaluation. There were daily progress notes in each care plan, together with records of GP & community nurse visits. A relative communication sheet was seen but had no entries recorded. The recreational activities record was seen but for one care plan the last entry was 28/02/07 and for the other the last entry was 07/02/07. There was no life history or record of significant events and anniversaries. The patient held records were seen in the treatment room and provided evidence of timely referrals to health care professionals. Staff showed a handover sheet that is completed for each shift and staff need to be mindful of the information written on this sheet to ensure resident’s confidentiality is not breached. The daily record also needs to include more information about the social and emotional aspects of the resident’s day. The arrangements for the storing, administration and recording of medicines was looked at with the member of staff responsible for medicine administration at the time of inspection. The member of staff confirmed that he has completed certified training and described the course content. This was appropriate to the client group. The member of staff described medication procedures and good practice. The medication refrigerator is kept in the medication room. The temperature on the day of inspection was well within range, however a daily fridge temperature record needs to be kept. The medication administration records were seen and were up to date and in good order. During the course of the inspection, staff were seen knocking on residents doors before entering and a resident, seen by a visiting GP, was seen in private. The interaction between staff and residents was observed and was appropriate. Residents were addressed as they preferred and residents spoken to by the Inspector asked that they be addressed by their first names. There was 1:1 interaction, particularly during the afternoon. Somerset Villa Care Home DS0000067349.V333187.R01.S.doc Version 5.2 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents who are able to make choices for themselves are able to enjoy the lifestyle they prefer. Staff support residents to make choices around their daily living. Visitors said they were welcome at the home at any time. Residents who express choices and preferences have them respected by staff. Staff need to ensure that lifestyle choices are recorded. Residents enjoyed their main meal and were provided with drinks and refreshments throughout the day. EVIDENCE: The plans of care seen did not give sufficient information to form a view about the activities enjoyed by residents and how they are supported to access these. Recreational activities records were not completed on a daily basis and the most recent seen had a last entry more than 2 weeks before the inspection. A member of staff said that some meaningful occupation takes Somerset Villa Care Home DS0000067349.V333187.R01.S.doc Version 5.2 Page 12 place and described residents dusting about the house, folding laundry and laying tables. None of these activities were seen during the inspection. Some activity was described that is not regarded as age appropriate. Residents said they were happy at the home. Two residents said they were able to spend their day as they wish and can join in activity when they feel like it. Another resident said she likes to have a cigarette but is happy to go outside as the home has a no smoking policy. Some visitors were seen during the day and 3 were spoken to. They said they felt able to visit the home whenever they wished and always felt welcome. They referred to the improvements made since Mrs Priaulx has been in control. Residents said they could spend their day where and with whom they wished. They did not feel they had to join in activity if they did not want to. Residents were seen throughout the home but mainly in the dining room, lounge and conservatory. They were moving freely about the home. Lunch was eaten with 3 residents.. They all said they enjoyed their meal. Each table was laid appropriately, with a plastic cloth, placemats and condiments. Meals arrived ready plated. One resident was served lunch in a shallow bowl to allow her to be independent. A member of staff was observed assisting a resident. She sat beside the resident and provided discreet assistance. Somerset Villa Care Home DS0000067349.V333187.R01.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a complaints procedure in place that is well known. Staff recruitment practice helps to safeguard residents from abuse. Staff are currently receiving formal abuse awareness training. EVIDENCE: A copy of the home’s complaints procedure was seen on the table in the entrance hall. No complaints have been received at the home since 31st August 2007, when Mrs Priaulx took over at the home. The home has developed documentation to record any complaints that may be received, the investigation carried out and the outcome. Staff records were looked at and showed that the home has a good recruitment process that includes obtaining at least 2 written references. Criminal Records Bureau checks were also seen on file. Staff spoken to had a good understanding of protection of vulnerable adults. Mrs Priaulx confirmed that 4 staff were due to attend abuse awareness training during March, with the rest of the staff group to follow as soon as further training dates were received. Somerset Villa Care Home DS0000067349.V333187.R01.S.doc Version 5.2 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19. 20, 25 & 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is currently undergoing a complete redecoration, with refurbishment planned for some parts of the home. Some bedrooms are in need of redecoration and are included in the programme. Communal areas of the home are being redecorated first, with bedrooms being redecorated when they become vacant. The home was clean, tidy and free of offensive odours. All flooring needs to be securely fitted to reduce the risk of trips and falls. EVIDENCE: A tour of the premises was conducted with Mrs Priaulx. She said that only 2 radiators had not been covered. The redecoration plan has been implemented, with only 1 section of the 1st floor corridor, the dining room, lounge and Somerset Villa Care Home DS0000067349.V333187.R01.S.doc Version 5.2 Page 15 conservatory left to be decorated in the communal areas. One bedroom has been redecorated and others will follow in due course. Some bedrooms are in need of redecoration and the planned approach may need to be reconsidered if they deteriorate much further. A new heating system has been installed and a new kitchen fitted. A quotation was being obtained for new carpets throughout the home. During the tour of the building, it was noted that a piece of lino had been placed across the carpet in a bedroom because of continence problems. The lino was torn in places and represented a trip hazard for both the resident and staff. Properly fitted flooring needs to be fitted securely without delay. Mrs Priaulx said the garden patio had been cleaned and she plans to develop a sensory garden ready for the better weather. This will provide a very pleasant external area for residents to enjoy that is easily accessible from the conservatory. It was noted that some curtain valances were hanging down where they had come off the rails. This made the curtains look untidy and it is recommended that the valances be removed. An environment audit is being completed, and once done will produce an environment development plan as part of the quality assurance process. A maintenance log is being kept of all work completed. This also lists all checks by contractors in addition to those done by the home. Mr & Mrs Priaulx said they expected the refurbishment of the home would take approximately 24 months and this seems a reasonable time scale. The laundry room contains 1 industrial washer that will disinfect appropriately. There is also 1 dryer in the laundry. Pictures and signage to aid orientation were seen ready to be put on resident’s bedroom doors once decoration had been completed. The home was clean and tidy on the day of inspection. No unpleasant odours were detected. Somerset Villa Care Home DS0000067349.V333187.R01.S.doc Version 5.2 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides staff in sufficient numbers to ensure the needs of residents are well met. There are some difficulties due to staff absence, but staff levels are maintained by the use of agency staff when necessary. The home operates good recruitment procedures that protect residents. There is a commitment to thorough induction and foundation training, leading onto NVQ training for care staff. The home is engaged in a comprehensive training programme that reflects the needs of the resident group. EVIDENCE: A copy of the staff rota for the week of inspection was obtained. Mrs Priaulx said that there has been quite high staff sickness recently and ensuring all shifts were covered has meant that agency staff have been used. During the inspection, Mrs Priaulx received the resignation of the deputy manager and said she would look to fill the post as soon as possible. The staff rota shows that 3 care staff are employed during the day, with 1 waking night staff plus Mr & Mrs Priaulx providing on-call cover on site. Sixteen residents were living Somerset Villa Care Home DS0000067349.V333187.R01.S.doc Version 5.2 Page 17 at the home on the day of inspection and the staffing levels allow for 1 staff to 5 residents. These are regarded as good staff levels for this resident group. Two staff files were looked at in detail. One file was for a recently recruited member of staff. There was evidence of good recruitment practice. The most recently appointed member of staff is currently doing her induction and foundation training. Mrs Priaulx has obtained the Skills for Care framework working to the common induction standards. Funding has been obtained for NVQ for 2 carers to level 2 & 2 carers to level 3. The training plan was seen. Dementia training for all staff was booked for the week of inspection. As previously stated, abuse awareness training is arranged for 4 staff, with the rest of the staff group to follow when dates have been received. All staff have completed manual handling, 3 have completed 1st Aid & 6 have completed medication. Reminiscence training was scheduled for week commencing 19/03/07 and there are plans for infection control, for all staff. All staff on duty were spoken to, including the agency staff providing morning cover. The agency carer said she enjoys working at the home and feels she has time to talk with residents whilst giving personal care and support. A permanent member of staff confirmed he was due to commence NVQ at level 3 and also would be attending the 1st Aid and abuse awareness training taking place during the week of inspection. Somerset Villa Care Home DS0000067349.V333187.R01.S.doc Version 5.2 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 & 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Mrs Priaulx is well qualified and experienced to manage the home. The home’s quality assurance audit has been completed and the summary and improvement plan are awaited. The recording of purchases made on behalf of residents needs to be improved to ensure full details are maintained of all transactions. The resignation of the deputy manager has compromised Mrs Priaulx’s ability to undertake staff supervision and as a result this is not taking place at the moment. The home has good health and safety practices in place. The home needs to develop risk assessments that inform staff of how risk can be reduced. Somerset Villa Care Home DS0000067349.V333187.R01.S.doc Version 5.2 Page 19 EVIDENCE: Mrs Priaulx has resumed the responsibility of managing the home on a day-today basis following the resignation of the registered manager. She is well qualified and competent to undertake this role and is currently studying towards her Registered Managers Award. It was also noted that Mrs Priaulx is attending training arranged for staff to ensure she is up to date. She intends to replace the deputy manager, who submitted her resignation on the day on inspection so that management tasks can be appropriately delegated. There was a brief discussion about the need for a senior member of staff, or Mrs Priaulx herself, to complete a more advanced training course about dementia care. Mrs Priaulx was positive about this suggestion. The home has had a quality audit completed by Norfolk & Suffolk Care Brokerage. Satisfaction surveys have been completed and the report is awaited. Mrs Priaulx said the audit report would inform the improvement plan and she intends to keep a copy by the entrance to the home for visitors to see. A copy will also be posted to relatives and the Commission. The arrangements for resident’s personal allowances were discussed. The need to keep full details of any purchases made was discussed and Mrs Priaulx was advised to keep full records of date, item and full price. A copy of the items purchased should be sent for reimbursement so that the process is transparent and the home not open to allegations of mismanagement. Staff are not receiving formal supervision. Mrs Priaulx said the supervision process was due to start, with the deputy manager playing a significant part in the process. All staff have been given self-evaluation forms to complete in anticipation of starting the process. It is not clear when staff supervision will now commence. Mrs Priaulx said that no risk assessments were in place at the time she took the home over. She is liaising with Environmental Health Officers as she wishes to discuss with them the content and process to ensure it meets with their expectations. Mrs Priaulx was advised to make some effort to identify areas of risk and to record what action staff need to take to reduce risk in the interim period. Examples of areas of risk seen during the tour of the building were suggested, including stairs, flooring in bedrooms and the use of bedrails. The accident records were seen. These were well written, clear and legible. There was evidence that Mrs Priaulx has followed up on some reports as necessary. Other health and safety records were looked at including water temperature checks and legionella checks. Wiring has been checked and service contracts are in place to ensure essential systems and equipment are well maintained. Somerset Villa Care Home DS0000067349.V333187.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X X X X 2 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 2 2 X 2 Somerset Villa Care Home DS0000067349.V333187.R01.S.doc Version 5.2 Page 21 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP7 Regulation 15(2) Requirement The registered persons must ensure that resident’s care plans are kept under review at least monthly The registered persons must ensure that all flooring is securely fixed to reduce the risk of trips and falls. The registered persons must ensure that staff supervision commences and is provided at least 6 times per year. Timescale for action 09/04/07 2 OP25 13(4)(b) 09/04/07 3 OP36 18(2)(a) 09/05/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP7 OP7 Good Practice Recommendations It is recommended that care plans include a life history of the resident and also information about significant events and anniversaries It is recommended that the resident and/or their representative is involved in the care plan review wherever possible. DS0000067349.V333187.R01.S.doc Version 5.2 Page 22 Somerset Villa Care Home 3 4 5 6 7 8 OP10 OP9 OP7 OP33 OP35 OP38 It is recommended that staff handover documentation does not contain information that compromises confidential information about residents. It is recommended that a daily record is kept of temperature of the medication refrigerator. It is recommended that a record is kept of the lifestyle choices and daily activity preferred by residents. It is recommended that the homes quality assurance audit summary and action plan is made available to residents, visitors and the Commission as soon as possible. It is recommended that the records kept of purchases made on behalf of residents are improved to give full information that ensures transparency of practice. It is recommended that risk assessments are developed to identify risks and provide guidance for how risks can be reduced pending consultation with the Environmental Health Officer. Somerset Villa Care Home DS0000067349.V333187.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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